Tags

Type your tag names separated by a space and hit enter

Impact of the COVID-19 Pandemic on Neurosurgical Practice at an Academic Tertiary Referral Center: A Comparative Study.
World Neurosurg. 2020 07; 139:e872-e876.WN

Abstract

BACKGROUND

Neurosurgical services have been affected by the 2019 novel coronavirus disease (COVID-19) pandemic, and several departments have reported their experiences and responses to the COVID-19 crisis in an attempt to provide insights from which other impacted departments can benefit. The goals of this study were to report the load and variety of emergent/urgent neurosurgical cases after implementing the "Battle Plan" at an academic tertiary referral center during the COVID-19 pandemic and to compare these variables with previous practice at the same institution.

METHODS

The clinical data of all patients who underwent a neurosurgical intervention between March 23, 2020, and April 20, 2020, were obtained from a prospectively maintained database. Data of the control group were retrospectively collected from the medical records to compare the types of surgeries/interventions performed by the same neurosurgical service before the COVID-19 pandemic started.

RESULTS

Over a 4-week period during the COVID-19 pandemic, 91 patients underwent emergent, urgent, and essential neurosurgical interventions. Patient screening at teleclinics identified 11 urgent surgical cases. The implementation of the Battle Plan led to a significant decrease in the caseload, and the variation of cases by subspecialty was evident when compared with a control group comprising 214 patients.

CONCLUSIONS

Delivery of optimal care and safe practice and education at an academic neurosurgical department can be well maintained with proper execution of crisis protocols. Teleclinics proved to be efficient in screening patients for urgent neurosurgical conditions, but in-person clinic visits may still be necessary for some cases in the immediate postoperative period.

Authors+Show Affiliations

Department of Neurosurgery, Johns Hopkins University School of Medicine, Institute for Brain Protection Sciences, Johns Hopkins All Children's Hospital, St. Petersburg, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA.Department of Neurosurgery, University of South Florida Morsani College of Medicine, Tampa General Hospital, Tampa, Florida, USA. Electronic address: palikhan@usf.edu.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

32450314

Citation

Noureldine, Mohammad Hassan A., et al. "Impact of the COVID-19 Pandemic On Neurosurgical Practice at an Academic Tertiary Referral Center: a Comparative Study." World Neurosurgery, vol. 139, 2020, pp. e872-e876.
Noureldine MHA, Pressman E, Krafft PR, et al. Impact of the COVID-19 Pandemic on Neurosurgical Practice at an Academic Tertiary Referral Center: A Comparative Study. World Neurosurg. 2020;139:e872-e876.
Noureldine, M. H. A., Pressman, E., Krafft, P. R., Greenberg, M. S., Agazzi, S., van Loveren, H., & Alikhani, P. (2020). Impact of the COVID-19 Pandemic on Neurosurgical Practice at an Academic Tertiary Referral Center: A Comparative Study. World Neurosurgery, 139, e872-e876. https://doi.org/10.1016/j.wneu.2020.05.150
Noureldine MHA, et al. Impact of the COVID-19 Pandemic On Neurosurgical Practice at an Academic Tertiary Referral Center: a Comparative Study. World Neurosurg. 2020;139:e872-e876. PubMed PMID: 32450314.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of the COVID-19 Pandemic on Neurosurgical Practice at an Academic Tertiary Referral Center: A Comparative Study. AU - Noureldine,Mohammad Hassan A, AU - Pressman,Elliot, AU - Krafft,Paul R, AU - Greenberg,Mark S, AU - Agazzi,Siviero, AU - van Loveren,Harry, AU - Alikhani,Puya, Y1 - 2020/05/23/ PY - 2020/05/01/received PY - 2020/05/15/revised PY - 2020/05/16/accepted PY - 2020/5/26/pubmed PY - 2020/8/6/medline PY - 2020/5/26/entrez KW - Battle Plan KW - COVID-19 KW - Case variety KW - Caseload KW - Neurosurgical practice KW - Pandemic SP - e872 EP - e876 JF - World neurosurgery JO - World Neurosurg VL - 139 N2 - BACKGROUND: Neurosurgical services have been affected by the 2019 novel coronavirus disease (COVID-19) pandemic, and several departments have reported their experiences and responses to the COVID-19 crisis in an attempt to provide insights from which other impacted departments can benefit. The goals of this study were to report the load and variety of emergent/urgent neurosurgical cases after implementing the "Battle Plan" at an academic tertiary referral center during the COVID-19 pandemic and to compare these variables with previous practice at the same institution. METHODS: The clinical data of all patients who underwent a neurosurgical intervention between March 23, 2020, and April 20, 2020, were obtained from a prospectively maintained database. Data of the control group were retrospectively collected from the medical records to compare the types of surgeries/interventions performed by the same neurosurgical service before the COVID-19 pandemic started. RESULTS: Over a 4-week period during the COVID-19 pandemic, 91 patients underwent emergent, urgent, and essential neurosurgical interventions. Patient screening at teleclinics identified 11 urgent surgical cases. The implementation of the Battle Plan led to a significant decrease in the caseload, and the variation of cases by subspecialty was evident when compared with a control group comprising 214 patients. CONCLUSIONS: Delivery of optimal care and safe practice and education at an academic neurosurgical department can be well maintained with proper execution of crisis protocols. Teleclinics proved to be efficient in screening patients for urgent neurosurgical conditions, but in-person clinic visits may still be necessary for some cases in the immediate postoperative period. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/32450314/Impact_of_the_COVID_19_Pandemic_on_Neurosurgical_Practice_at_an_Academic_Tertiary_Referral_Center:_A_Comparative_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(20)31121-9 DB - PRIME DP - Unbound Medicine ER -